Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 251E00000X | Home Health | | | | No |
| 2 | 251G00000X | Hospice Care, Community Based | | | | No |
| 3 | 251J00000X | Nursing Care | | | | No |
| 4 | 3140N1450X | Skilled Nursing Facility | Nursing Care, Pediatric | | | No |
| 5 | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | | | | No |
| 6 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 7 | 253J00000X | Foster Care Agency | | | | Yes |